Individual
MS. SUSAN LORRAINE REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8209 113TH ST, SEMINOLE, FL 33772-4128
(727) 543-2144
Mailing address
1028 COMMODORE ST, APT 4, CLEARWATER, FL 33755-1014
(727) 543-2144
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA6609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1838
BLUE CROSS BLUE SHEILD
FL
Enumeration date
06/05/2009
Last updated
06/05/2009
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